Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.36 / $122.59 / $335.24	Facility		$98.36	$122.59	$335.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $96.75 / $367.00	Professional		$70.91	$96.75	$367.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $106.00 / $228.29	Professional		$85.00	$106.00	$228.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $170.71 / $229.07	Professional		$116.72	$170.71	$229.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $108.68 / $190.90	Facility		$74.34	$108.68	$190.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $154.24 / $238.72	Professional		$104.70	$154.24	$238.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.17 / $186.70 / $195.64	Facility		$114.17	$186.70	$195.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.03 / $108.68 / $195.50	Facility		$74.03	$108.68	$195.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $137.74 / $231.41	Professional		$86.45	$137.74	$231.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $150.63 / $227.91	Professional		$106.26	$150.63	$227.91
United Facility/Professional Professional Modifier Low / Median / High Price $107.10 / $167.55 / $307.77	Professional		$107.10	$167.55	$307.77